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HomeMy WebLinkAbout0026914-Plumbing (laterals) CITY OF OSHKOSH N° 26914 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG l f SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS -gam i (11 . PLAN NO. OWNER e „c,.,,,i/ &,,,,,i- DESIGNER / , Q ___ ,_.____2_ 1 ,:z ti____e_ii. USE /NATURE OF WORK /L/ _ r ' S /� - 6 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR e-G'' - er BT WH Disp WSoft CBasin se Lav Sh DW DF __f_ San. Sewer T / e " WC FDr SP Ur _t_ Storm Sewer t i/ (1 Sink LTub Eject SS Water / �. -- Other FEES: Valuation $ .'2-/C 0 • 0 0 Permit Fee Paid $ 3C? © (Ni Park Dedication $ ISSUED BY Date / — '2- 7 -- Final /O.P. 1- - .3 rs - V In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Ofe."---- 72 j` a S a 3 p, S-� J' P.... AGENT /OWNER DATE i ADDRES '. - - "' d ' 4 t <e 't d''%2I-,44, 41er;, TELEPHONE # �/, PLUMING PERMIT APPLICATION r ADDRESS, on S 7 � �- a yL DATE . f,-136 PERMIT# . ;677,L OWNER . �") 1 L4 n i > PLUMBER e , �° a'f < NATURE OF WORK 4'l A a � 0 LPL o r , - I r �- w �+ \' NEW RELAY _ REPAIR INTERIOR ,mil SAN SEW ( 1 - '` 1 # # WATER " i , Bathtub Catch Basin STORM SEWI J " — Lavatory 1 Grease Trap Toilet 1 Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain 4 /6 }t sr S ��-. /Z — i ci Shower Laundry S tand Pipe 7 Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets N** Violation notes on the reverse sides